| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.40 | $993.00 | $3,142.10 | |
Aetna
| Facility | 50 | $1,329.23 | $2,118.50 | $12,592.93 |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.40 | $993.00 | $3,142.10 | |
Aetna
| Facility | 50 | $1,329.23 | $2,118.50 | $12,592.93 |
United
| Facility | $225.00 | $529.00 | $1,739.00 |